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Health Savings Account (HSA) ­ Sample List of Reimbursable Expenses

HSAs are spending accounts established to provide certain individuals with a means to pay for qualified healthcare expenses. Additionally, HSA funds can be used to pay for certain insurance premiums, and at some point, can even be used for non-medical expenses, without incurring penalties (i.e., attainment of age 65 and death of the HSA account holder). Generally speaking, qualified healthcare expenses are defined under Section 213(d) of the IRS Code, which also includes those expenses eligible for reimbursement under a Flexible Spending Account (FSA), and certain Healthcare Reimbursement Arrangements (HRA). Listed below are some examples of both qualified and non-qualified medical expenses. For a complete list of eligible expenses, please refer to IRS Publication 502 - "Medical and Dental Expenses", Catalog Number 15002Q. The publication is available at the IRS web site, which is www.irs.gov. You can also obtain more information by calling 800-TAX-FORM (800-8293676). Sample Qualified Expenses

Acupuncture Alcoholism treatment Ambulance Artificial limbs or prostheses Artificial teeth Birth control pills (by prescription) Braces Breast reconstruction surgery Car (special hand controls or equipment to accommodate a disabled person) Chiropractor Christian Science practitioner Contact lenses and cleaning solutions Crutches Dental treatment Dentures Dermatologist Diagnostic devices (blood sugar test kit) Drug addition treatment Eyeglasses Fertility enhancement Guide dog or assistance animal Hearing aids and batteries Home care Home improvements to accommodate a disabled person Hospital services Lab fees Laser eye surgery Lead paint removal Lodging (away from home for prescribed outpatient care) Long term care services Nonprescription medications Nursing home Nursing services (including board and meals) Ophthalmologist/Optician Organ transplant (including donor expenses) Osteopath Oxygen and oxygen equipment Physician services Podiatrist Prescription medications Psychiatric care Psychiatrist/Psychologist Special home for the mentally retarded Special school costs for the handicapped Sterilization Surgery Stop-smoking programs (physician prescribed) Telephone or TV equipment to assist the hearing impaired Therapy Transportation (primarily for and essential to medical care) Vasectomy Weight loss programs to treat an existing disease Wheelchair X-rays

Sample Non-Qualified Expenses

Babysitting and childcare for a healthy baby Bottled water Cosmetic surgery and procedures (unless for deformity) Cosmetics, hygiene products, etc. Diaper Service Domestic help Electrolysis or hair removal Funeral, cremation or burial expenses Hair transplant Health club membership Illegal operations or treatments Maternity clothes Nutritional supplements Premiums for most insurance coverage (premium for Long Term Care and in certain circumstances, Medical Insurance are permissible)

This list contains examples only, and is not intended to provide an all inclusive list. S.M. Stevens and Associates and its affiliates are not engaged in providing tax or legal advice. Please consult a tax or legal professional if such advice is needed.

© 2008 S.M. Stevens And Associates. All rights reserved. Use by permission only.

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